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Summer Camp Registration Form

 summer camp registration form

St Michaels Tennis Summer Camp 

Registration Form

 

Start date Please tick €50 Members/ €60 non members –  paid
Monday 9th July
Monday 13th August

 

 

Each camp runs from Monday to Friday, 10am to 1pm.

Summer Camps are open to children between the ages of 6years +

To secure your place, please give registration form with payment FAO Lorraine Duffy into the box outside the clubhouse. Payment due 4 weeks before start date of camp. Please make cheques payable to ‘St Michael’s Tennis LTC’

 

Child’s Name:________________________________________________________

 

Address:_____________________________________________________________

 

____________________________________________________________________

 

Date of birth: ________________________________________________________

 

School and class;_____________________________________________________

 

Parent/Guardian: _____________________________________________________

 

Tel: Home __________________________Mobile:___________________________

 

Parent/Guardian: _____________________________________________________

 

Tel: Home __________________________Mobile:___________________________

 

 

Email address: _______________________________________________________

 

  • I give/do not give (delete one) my consent for Junior player to be photographed\ video taped.

 

MEDICAL  INFORMATION

____________________________________________________________

____________________________________________________________

Please include all medical details that might be relevant in dealing with your child in a safe manner, such as allergies, medication, special needs etc.

Signed: _____________________________________________________________

Parent/Guardian

 

Signed: _____________________________________________________________

Junior Player

For more details, please contact Lorraine Duffy 086 8147245 or email stmichaelstennisclub@eircom.net

See also www.stmichaelstennisclub.ie (junior section/summer camp) for more details about the camp.